A potent pan-sarbecovirus neutralizing antibody resilient to epitope diversification

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Rosen, Laura | Tortorici, M. Alejandra | de Marco, Anna | Pinto, Dora | Foreman, William | Taylor, Ashley | Park, Young-Jun | Bohan, Dana | Rietz, Tyson | Errico, John | Hauser, Kevin | Dang, Ha | Chartron, Justin | Giurdanella, Martina | Cusumano, Giuseppe | Saliba, Christian | Zatta, Fabrizia | Sprouse, Kaitlin | Addetia, Amin | Zepeda, Samantha | Brown, Jack | Lee, Jimin | Dellota, Exequiel | Rajesh, Anushka | Noack, Julia | Tao, Qiqing | Dacosta, Yvonne | Tsu, Brian | Acosta, Rima | Subramanian, Sambhavi | Dias de Melo, Guilherme | Kergoat, Lauriane | Zhang, Ivy | Liu, Zhuoming | Guarino, Barbara | Schmid, Michael | Schnell, Gretja | Miller, Jessica | Lempp, Florian | Czudnochowski, Nadine | Cameroni, Elisabetta | Whelan, Sean P.J. | Bourhy, Hervé | Purcell, Lisa | Benigni, Fabio | Di Iulio, Julia | Pizzuto, Matteo Samuele | Lanzavecchia, Antonio | Telenti, Amalio | Snell, Gyorgy | Corti, Davide | Veesler, David | Starr, Tyler

Edité par CCSD ; Elsevier -

International audience. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) evolution has resulted in viral escape from clinically authorized monoclonal antibodies (mAbs), creating a need for mAbs that are resilient to epitope diversification. Broadly neutralizing coronavirus mAbs that are sufficiently potent for clinical development and retain activity despite viral evolution remain elusive. We identified a human mAb, designated VIR-7229, which targets the viral receptor-binding motif (RBM) with unprecedented cross-reactivity to all sarbecovirus clades, including non-ACE2-utilizing bat sarbecoviruses, while potently neutralizing SARS-CoV-2 variants since 2019, including the recent EG.5, BA.2.86, and JN.1. VIR-7229 tolerates extraordinary epitope variability, partly attributed to its high binding affinity, receptor molecular mimicry, and interactions with RBM backbone atoms. Consequently, VIR-7229 features a high barrier for selection of escape mutants, which are rare and associated with reduced viral fitness, underscoring its potential to be resilient to future viral evolution. VIR-7229 is a strong candidate to become a next-generation medicine.

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